Introduction: Breast cancer remains the most commonly diagnosed cancer in Australian women, with mastectomy being a standard treatment for many patients. As part of holistic care, breast reconstruction offers both aesthetic restoration and psychological benefits.(1) Method: A comprehensive review of current breast reconstruction practices in Australia was conducted using literature from national healthcare databases and clinical studies,. Data from public and private health sectors were assessed to evaluate trends in the adoption of autologous versus implant-based reconstructions, as well as newer advancements like fat grafting and 3D-printed implants. Results: The most common techniques in Australia include implant-based reconstruction, which remains widely used due to its simplicity and shorter recovery time, and autologous tissue reconstruction using flaps like DIEP (deep inferior epigastric perforator) and TRAM (transverse rectus abdominis musculocutaneous). Innovative procedures such as fat grafting are gaining popularity and addressing complications like asymmetry. Recent advances in 3D-printed implants and personalized implant design have shown promising results, enhancing both aesthetic and functional outcomes.(1) Conclusion: Breast reconstruction is evolving integrating cutting-edge technologies. Innovations such as fat grafting, 3D-printed implants, and autologous flap refinement offer improved aesthetic and functional outcomes. However, the choice of technique must be personalized, considering patient preferences, tumor characteristics, and the surgical team's expertise. 1.Tomita K, Kubo T. Recent advances in surgical techniques for breast reconstruction. International Journal of Clinical Oncology. 2023 Jul;28(7):841-6.